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Dentistry · Oral medicine: geographic tongue
Sample itemA patient has migrating smooth erythematous depapillated patches on the dorsal tongue with serpiginous white borders. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Geographic tongue
Geographic tongue is benign migratory glossitis with changing depapillated red areas bordered by white serpiginous margins. It may cause mild sensitivity but needs no treatment in most cases.
Option by option
A. Oral candidiasis
Candidiasis causes removable white plaques or erythema.
B. Geographic tongue (correct)
Correct. The changing map-like tongue pattern is characteristic.
C. Leukoplakia
Leukoplakia is a persistent non-scrapable white plaque.
D. Hairy leukoplakia
Hairy leukoplakia is a corrugated lateral-tongue lesion associated with immunosuppression.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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